State University of New York at Buffalo, School of Pharmacy and Pharmaceutical Sciences, Buffalo, New York.
Erie County Medical Center, Buffalo, New York.
Am J Pharm Educ. 2019 Dec;83(10):7439. doi: 10.5688/ajpe7439.
To examine pharmacy students' self-assessment and evaluator assessment of the global performance of skills required for effective interprofessional collaborative practice during an objective structured clinical examination (OSCE). Third-year pharmacy students completed three cases designed to evaluate the skills they would need to engage in effective interprofessional collaborative practice as part of a capstone objective structured clinical examination (OSCE). Students then also completed a brief survey regarding the quality of the cases and the Interprofessional Collaborative Competency Attainment Survey (ICCAS). Student performance on each of the three cases was assessed using the Global Rating Scale (GRS). Paired sample tests were conducted to compare differences in mean change in ICCAS scores. Correlations between the GRS ratings and ICCAS pre- and post-assessment scores and changes in scores were examined. One hundred twenty-four students participated in the study. The majority of students reported that the OSCE cases were realistic and of high quality. The average total ICCAS score (out of 7) was 5.1 (SD=0.8) at pre-assessment and 5.9 (SD=0.6) at post-assessment; the difference in scores was significant. The mean GRS scores (out of 5 points) for the three cases were 4.2 (SD=0.5), 4.5 (SD=0.6), and 4.6 (SD=0.5); and the mean score for the three cases combined was 4.4 (SD=0.3). A weak relationship was found between the total GRS and ICCAS post-assessment scores. Presenting pharmacy students with OSCE cases that focused on skills important to effective interprofessional collaborative practice was an effective means of assessing their skills and improving their self-assessment of interprofessional collaborative behaviors.
考察药学学生在客观结构化临床考试(OSCE)中对有效跨专业协作实践所需技能的自我评估和评估者评估。三年级药学学生完成了三个案例,旨在评估他们在顶点客观结构化临床考试(OSCE)中进行有效跨专业协作实践所需的技能。然后,学生还完成了一份关于案例质量和跨专业协作能力达成情况调查(ICCAS)的简短调查。学生在每个案例中的表现都使用总体评估量表(GRS)进行评估。进行了配对样本检验,以比较 ICCAS 分数的平均变化差异。检查了 GRS 评分与 ICCAS 前后评估分数和分数变化之间的相关性。124 名学生参加了这项研究。大多数学生报告说 OSCE 案例现实且质量高。ICCAS 总分(满分 7 分)在预评估时为 5.1(SD=0.8),在评估后为 5.9(SD=0.6);分数差异显著。三个案例的平均 GRS 分数(满分 5 分)分别为 4.2(SD=0.5)、4.5(SD=0.6)和 4.6(SD=0.5);三个案例的平均总分为 4.4(SD=0.3)。发现总 GRS 与 ICCAS 后评估分数之间存在弱关系。为药学学生提供侧重于有效跨专业协作实践重要技能的 OSCE 案例是评估他们技能和提高他们对跨专业协作行为自我评估的有效方法。